| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,137.96 | $3,019.95 | $3,162.28 | |
United
| Professional | $1,995.26 | $2,884.03 | $7,762.47 |
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,137.96 | $3,019.95 | $3,162.28 | |
United
| Professional | $1,995.26 | $2,884.03 | $7,762.47 |